| NPI | 1033867924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AR 3151) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL DH16312) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-05-04 |